Impact of Clinical Pharmacist Intervention on the Management of Health Related Quality of Life in Chronic Obstructive Pulmonary Disease

Abstract

Background: Patient adherence to treatment in chronic obstructive pulmonary disease is essential to optimize disease management. Health-related quality of life is an important domain for measuring the impact of chronic disease. Objectives: The main objective of our study is to assess the health related quality of life and medication adherence: pre and post clinical pharmacist intervention. Setting: Respiratory Medicine Department of M.S. Ramaiah Hospitals, Bengaluru. Methods: A prospective interventional study was conducted. 96 subjects were recruited in the study based on inclusion criteria. Adherence to the treatment was assessed through Morisky-Greene-Levine scale. The health-related quality of life was assessed through SF-36. Reassessment of the above was conducted after 1-year span and the result was compared, evaluated and measured with appropriate statistics. Results: Participants in the high adherence category are 12.5% in the pre-counselling and 56.25% post-counselling. Highest correlation among SF-36 and Morisky-Greene-Levine scale was observed between pain and adherence (0.354). The level of p<0.05 was considered as significant. Conclusion: Medication adherence plays a key role in health-related quality of life in chronic obstructive pulmonary disease subjects. Statistically, significant improvement was observed in physical, general and social and emotional parameters.